Surgery in Intra‐abdominal Ruptured Hydatid Cyst

Malki, Hadj Omar El; Souadka, Amine; Mejdoubi, Yasser El; Zakri, B.; Benkabbou, Amine; Mohsine, Raouf; Ifrine, L.; Belkouchi, A.

doi:10.1007/s00268-007-9051-1

Cited by 11 publications

(7 citation statements)

References 6 publications

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“…It is well established that liver hydatid cyst rupture incidence represents 15% to 40% of LHC; most of these cases concern the bilary tract (40 - 60%) [6,9,10,14,27,28]. LHC evolution is closely correlated to the relation between biliary tracts and the cyst which leads to clinical and therapeutic considerations specific to liver's location of hydatidosis [2,5,7,15,27-44].…”

Section: Discussionmentioning

confidence: 99%

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Predictive model of biliocystic communication in liver hydatid cysts using classification and regression tree analysis

et al. 2010

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BackgroundIncidence of liver hydatid cyst (LHC) rupture ranged 15%-40% of all cases and most of them concern the bile duct tree. Patients with biliocystic communication (BCC) had specific clinic and therapeutic aspect. The purpose of this study was to determine witch patients with LHC may develop BCC using classification and regression tree (CART) analysisMethodsA retrospective study of 672 patients with liver hydatid cyst treated at the surgery department "A" at Ibn Sina University Hospital, Rabat Morocco. Four-teen risk factors for BCC occurrence were entered into CART analysis to build an algorithm that can predict at the best way the occurrence of BCC.ResultsIncidence of BCC was 24.5%. Subgroups with high risk were patients with jaundice and thick pericyst risk at 73.2% and patients with thick pericyst, with no jaundice 36.5 years and younger with no past history of LHC risk at 40.5%. Our developed CART model has sensitivity at 39.6%, specificity at 93.3%, positive predictive value at 65.6%, a negative predictive value at 82.6% and accuracy of good classification at 80.1%. Discriminating ability of the model was good 82%.Conclusionwe developed a simple classification tool to identify LHC patients with high risk BCC during a routine clinic visit (only on clinical history and examination followed by an ultrasonography). Predictive factors were based on pericyst aspect, jaundice, age, past history of liver hydatidosis and morphological Gharbi cyst aspect. We think that this classification can be useful with efficacy to direct patients at appropriated medical struct's.

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Section: Discussionmentioning

confidence: 99%

“…Compression of biliary ducts wall lead to necrosis and fissures [3-6]. The Occurrence of biliocystic communication (BCC) is the major turning-point in the LHC evolution [5-10]. Its real incidence is not exactly precised but clinically it can range from 6,6 to 26% [3,5-12].…”

Section: Introductionmentioning

confidence: 99%

Predictive model of biliocystic communication in liver hydatid cysts using classification and regression tree analysis

et al. 2010

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“…Cholangitis, sepsis, acute abdomen status, intraperitoneal bile leak, extensive inflammatory reaction, and shock as consequence of or associated with rupture (trauma) are all reasons for urgent surgery [27].…”

Section: Discussionmentioning

confidence: 99%

Primary Peritoneal Echinoccocosis: An Uncommon Cause Of Acute Abdomen

2009

IJIM

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“…The existence of sepsis, acute abdomen, intra-peritoneal bile leakage, or shock imposes an urgent surgical intervention. However, in the absence of complications, surgery may be postponed until a more appropriate time [8]. …”

Section: Case Presentationmentioning

confidence: 99%

Asymptomatic intra-peritoneal rupture of hydatid cyst of the liver: case report

Majbar¹,

Aalala²,

Elalaoui³

et al. 2014

BMC Res Notes

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BackgroundIntra-peritoneal rupture of hydatid cyst is a rare complication and there is no consensus about its treatment.Case presentationThe reported case concerns a 25 years old female patient who had been complaining for four months from a moderate pain in the right upper quadrant. No clinical or biological signs of sepsis or allergic reactions were witnessed. Ultrasound and CT examinations showed a multilocular hepatic cyst in addition to multiple unilocular cysts in the abdomen. The suspected diagnosis was hepatic and peritoneal HC and a surgical treatment was scheduled four weeks later. Surgical exploration showed a large ruptured HC on the left lobe of the liver, with daughter cysts in the peritoneal cavity. Left lobectomy of the liver with complete ablation of all daughter cysts and a wide peritoneal lavage were performed. For the three months following the surgery, Albendazole had been given to the patient. No recurrence occurred after four years of follow-up.ConclusionIntra-peritoneal rupture of liver HC could be asymptomatic. This case showed that in some cases, occurrence of complications is not systematic. This suggests that urgent surgical treatment is not always mandatory in the absence of alarming signs. Well-conducted medical treatment would reduce the risk of occurrence of secondary peritoneal hydatidosis.

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Surgery in Intra‐abdominal Ruptured Hydatid Cyst

Cited by 11 publications

References 6 publications

Predictive model of biliocystic communication in liver hydatid cysts using classification and regression tree analysis

Predictive model of biliocystic communication in liver hydatid cysts using classification and regression tree analysis

Primary Peritoneal Echinoccocosis: An Uncommon Cause Of Acute Abdomen

Asymptomatic intra-peritoneal rupture of hydatid cyst of the liver: case report

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